TYLER K SORENSEN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

Title

DPM

First Name

TYLER

Middle

Last Name

SORENSEN

Business Name

TYLER K SORENSEN DPM

Original Issue Date

02/25/2021

Effective Date

02/25/2021

Expiration Date

01/31/2023

City

MT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023